PRE 2010 DOCSBUILDING PERMIT
a
N° 2 411
Village of Fridley, Minn.
� Y
's f
.................
Date
... ... .
Owner/
Al J-1
..... .. Builder...........................................
Address....
Address....... . ................... ........ .
LOCATION OF BUILDING
��//
No.. !=!.:�.�`..
.. Street .%....................... Part of Lot .......................
Lot ...A" .....
.. Block ../ ........... Addition or Sub-Division . . . ..
Corner Lot ......
..... Inside Lot .!'..... Setback .....
.�.. .. Sideyard ..........................
DESCRIPTION OF BUILDING
To be Used as:
.w..""y...
.. Front ..'ef. . Depth AV ... Height /* IF!.... Sq. Ft. Cu. Ft.........
Front . �i :.. Depth .. . Height . /.:'.. Sq. Ft.:.34st�: Cu. Ft. . .. .. .
Type of Constru
n .. Est. -cost ................ To be Completed a'iFl....�...�... .
In consideration
of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work
in accordance with the description above set forth and in compliance with all provisions of
ordinances of the iMage
of Fridley:
nsidf' erati
of the payment of a • , permit is hereby granted to
to building
Construct the or';addition as described above. This permit is granted upon
the express conditi�
that the person to whom it is granted and his, agents, employees and workmen, in all work
done In, around
upon said building, or any part thereof, shall conform in all respects . to the ordinances of
F'ridle34 Minnesota
regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village
and this permit may be revoked at , any time upon violation of any of the provisions of said
ordinances.
Building Inspector
NOTICE:
Thts permit
does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water.
Be sure to see the Building Inspector for separate permits for these Items.
SUBJECT
PERM
City of Fridley
13210
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
ECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
I
9/16/75
JOB ADDRESS 6170 - 7th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12
1
1 Upland Addition SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Norton Elliott 6170 - 7th Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct an addition to the garage
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR WIRING,
HEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
R-1
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED.
$2,000
1. 00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$5.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
.
$6.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLYVALIDATED THIS IS YOUR PERMIT
BLDG INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE)
APPLICATION FOR RESIDENTIAL,. ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: /)/0/Z 0A1 kLL.id !1� BUILDER:
ADDRESS • (o / 7 0 - 7--�—i 2� ADDRESS
NO.. STREET:
LOT: / BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: h SETBACK: SIDEYARD:
Applicant attach to this form Two CertificateF of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used -As:
rf
Front: /3� Depth:eight: /0
Square Feet: Cubic Feet:
Front: 'Depth: Height:
Square Feet; Cubic Feet:
Type of Construction:
To Be Completed:
Estimated Cost: $ a060•0c)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stxict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE : ,�P� / � - % % % S� SIGNATURE: 7(
(See Reverse Side For Additional Information.)
H
•
AGREEMENT
owner of
the property located
' at
GG -7th s7 . /eV,
IF have no objection
to the City allowing
the
construction of a
to be located
at bl7O -7t-h -57.-
7-without
withoutthe required certificate of survey that the
City
ordinarily requires
for all new construction.
ASignature
Address
Date
'
Witness
SUBJECT
P I
City of Fridley
153 3
AT THE TOP OF THE TWINS
[RvIT
BUILDING PERMIT
FkCEIPT NO.
1 16
COMMUNITY DEVELOPMENT DIV.
r 1 PROTECTIVE INSPECTION SEC.
1 �
=
,`J CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
8/6/79
JOB ADDRESS 6170 - 7th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12
1
1 Upland lSt Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Norton Elliot 6170 - 7th Street N.E. 571-3324
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Professional Roofing Serv. 7257 Yucca Lane Ma425-14213
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
S DESCRIBE WORK .
Reroof structure
9 CHANGE OF USE FROM TO
STIMULATIONS
Roof can be second but not third roof. Install ridged galvanized
valleys.
SEPERATE PERMITS REQUIRED FOR WL9M
HI!1kTINr.-u PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
]
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1,600
$.80
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFOR OF CO STRUCTION.
12.00
PLAN CHECK FEE
TOTAL FEE
�6 - `
$12.80
SIGN RE OF CONTRACTOR OR AUTHORIZED AGE (DATE)
WHEN PROPERLY VALIDATED THIS IyS YOUR PERMIT
,! 0J�=�A_t _ C JC�-`-
BLDG )NSP ATE
SIGNATURE OF OWNER OF OWNER BUILDER) (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWNER: �� )a vena
ADDRESS: / 7/7 _ "7 ' ALE -
TEL NO: �7/• �
BUILDER:
ADDRESS:
TEL NO:
Construction Location
STREET NO:
STREET:
LOT: /�
BLOCK: /. ADDITION: uj9t
f
+,,j•O LL(
Corner Lot:
Inside Lot:
Setback:
Sideyards:
Applicant
attach to this form two
Certificates of Survey of lot and
proposed
building location drawn on certificates
to scale.
DESCRIPTION OF
o
CONSTRUCTION
Front: _
Depth: -_
Height:
Square.Feet:
Cubic Feet:
Front:
Depth:
Height:
Square - Feet: _
Cubic Feet:
Cost: $
Type of Construction:
CPO
Estimated
�� 79
.
To Be Completed:
Alt. A Alt. B
Proposed Driveway
Width If New Opening Is
Desired:
$ _$ -
SEE REVERSE SIDE OF SHEET ,
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of Fridley Ordinances and
rulings of the Department of Buildings, and hereby declares that all the facts and
representations stated in this applica
DATE: e— 6 --7>-S-1 SIGNATURE:
Stipulations:
CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
'-RESIDENTIAL'-RESIDENTIALRATE
TOTAL
// �fj
Job Address %al 7� � i' �/ yl - AIF F
Furnace Shell and Duct Work,
Burner (Also replacement furnace) $
20.00
��jj
$ CW -6D
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Gas Piping $
10.00
$
Tel. #571-3450
(piping needed with new furnace)
Gas Range $
10.00
$
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
Gas Dryer $
10.00
$
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this applicat on are true and correct.
* Air Conditioning (all sizes) $
10.00
$ %Q 0
Fridley, Minn. GiJ Z• 19 0
All Others/Repairs and Alterations
OWNER
18 of Value of Appliance or Work
$
KIND OF BUILDING
COMMERCIAL/INDUSTRIAL
USED AS p
SPS
1% of Value of Appliance or Work
$
TO BE COMPLETED ABOUT
I
ESTIMATED COST --
State Surcharge
$ .50
_
�t
�d
$ 30 66-
OLD - NEW BUILDING PERMIT NO. PERMIT NO. •3O
TOTAL Fn
Reinspection Fee ($15.00)
$
DESCRIPTION OF FURNACE/BURNER
Rough Insp.
Warm Ai HEATING or POWER PLANTS, Steam, Hot Water, No.
Date
3 —,f/ - �D
�Q Size No. 39S 6 d( o
Trade Name /J,Q ✓�N�
Final Insp.
Date
Sq. Ft. EDR BTU HP
Capacity
Approval for Permit OJO
Total Connected Load Kind of Fuel G �s
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP C /
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 Company
PLUS $.50 STATE SURCHARGE
Signed By
Tel. No. es'f 39�
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Fill out back side for stack verification on replacement furnaces
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
I. Has been carefully examined Yes ( No ( )
2. Is free from rust or deterioration Yes No ( )
3. Has no foreign objects lodged within Yes (� No ( )
4. Is securely supported Yes No ( )
5. Meets all current Code requirements for size and
total BTU connected Yes () No ( )
6. Has Total heating BTU's of
All other BTU's
TOTAL
Rema rk s
Company f R' ee/s P ANC.
Signed By E'
Date �—
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PER-MIT
P_E
27609
•COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 i I
CITY HALL FRIDLEV 5$432NUMBER
612-571-3450
-
R-E4C-erPt No.
910-F15
REV
DATE
9/8/98
PAGE Of
APPROVED BY
JOB ADDRESS 6170 7th Street NE
1 LEGAL
DESCR.
LOT NO.
12
BLOCK
1
TRACT OR ADDITION
Upland — 1St
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Edna Elliot 6170 7th Street NE
55432
571-3324
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Milton Johnson Co. 525 Lowry Ave NE M ls.
55418
781-9548 2083
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house, (26 SQ), Tear-off
Repair aluminum fascia
9 CHANGEOFUSEFROM
TO
STIPULATIONS
Reroof - Underlayment must comply with the State Building Code.
Fascia - Install soffit ventilation to meet
the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT.
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANYTIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
VALUATION
$2,828.00
SURTAX
$1.41
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE O CONSTRUCTION.
PERMIT FEE
$74.75
SAC CHARGE
Fire SC $2.82
PLAN CHECK FEE
TOTA E
9 - �;O"'
L a $5.00
83.98
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
EN P OPERLV LIDAT
BL Ifv SP
IS I UR R
s
DAT
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
N EW f.K J Effective 1 / 1 /97
ADDN [ CITY OF FRIDLEY �A
ALTER �, J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 I b 1
BUILDING PERMIT APPLICATION
ConstructionAddress: 6170 7th Street N.E.
Legal Description:
Owner Name '& Address: Edna Elliot ( same) Tel. # 571-3324
Contractor: Milton Johnson Co. MN LICENSE#
2083
Address:- 525Lowry Ave. N E Mpls. 55418 Tel. # 781-9548
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA:
Length
Width Height
Sq. Ft.
GARAGE AREA:
Length
Width Height
Sq. Ft.
DECK AREA:
Length
Width Hgt/Ground
Sq. Ft.
OTHER:
.
Construction Type•
Tear off and re -roof house, r, -7,r,
i t alum . f a s c i a Estimated Cost: $.�=—
Driveway Curb Cut .Width
N
(Fee Schedule on Ba
Ft Ft x $eeded: Ft. + 6 =
/
DATE:£ y APPLICANT:
781-9548
Tel.
#
CITY USE ONLY
Permit Fee
$ . %
Fee Schedule on Reverse Side
moire Surcharge
$ �.y
.001 of Permit Valuation (1/10th%)
State Surcharge
$ /. �/
$.50/$1,000 Valuation
SAC Charge
$
$950 per SAC Unit
,icense Surcharge •
$
$5.00 (State Licensed Residential Contractors)
)riveway Escrow
$
Alt. "A" or Alt. "B" Above
'srosion Control
$
'$450.00 Conservation Plan Review
'ark Fee
$
Fee Determined by Engineering
'ewer Main Charge
$
,
Agreement Necessary Not Necessary
[ ] [ ]
TOTAL
$
'nPULATIONS:
W
NEW CITY OF FRIDLEY
ALTERJ �rsfy �.c flE, Frille',,' fRPI Sti.q z2
C l SINGLE FAMIL'r BIND nUPI_EXL-S 13-1 AI4) R.2
BUILDING PERMIT APPLICATION
Construction Address:
411
Legal Description: _
Owner Name & Address: Ia-,%i
Contractor:
�i� �?,X;
(793) 572:.1(7,n4 nirlq I119P
(7�i3) 5`l'i=1287
F.gPI I_IrrF1�l_ aj '
Address: MDOFING & 13F�^DELL�tG_li>,I tel
4,100 EXCELSIOR MAI), Y
=A AOOFING & REMODELPVMW00600sed H� `� I` �� a `certificate of St Ir.+P�; of (he
4160 EXCELSIOR BLVconstruction drawn on it to scale,
ST. LOUIS PARK, MN 55416
ID#0001o50 DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width
GARAGE ARM: Length
DIE -OK AIS
OTHER:
Height —Sq. Sq. Ft.
:a d/7 - Fol 3
tVidth HPirjht S. , M.
—1 Wldth HgVGround Sq, Ft. t
. _ a
Construction Type. if Estimated Cost: $_
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _
DATE:
Call (7611 r.77 lltnA
f
Tnl_ I,")
or vern"rt Fees it nailing in appiicatien. Cax (e 7GJ�7 I- 2UY fl- usiit,y crcdit carr) aiid we will call
you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Gurb Cut Es rrc)w
Erosioh Control
Park Fee
Sewer Main Charge
TOTAL.
CITY USL ONLY -
$ ", �O Fee Schedule on Reverse Side
$ Y .001 of Permit Valuation (1110th%)
$ 22 $.50!$1,000 Valuation
$ $1350 per SAC Unit
$5.00 00 0,n1c Licensed Resirlrntial c rl�rcj
Alt. „A" or Alt. "B" Above
$450,00 Conservation Plan Review
- Fee Determined by Engineering
$ Agreement Necessary [ 7 Not Necessary[
E•'�'d 8Zb'ON
STIPULATIONS:
S37HS 5NI-0006 H13S
WHIS:0T S002'E '/10N